Difference between revisions of "Subependymoma"

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{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Subependymoma_-_very_high_mag.jpg
| Width      =
| Caption    = Subependymoma. [[H&E stain]].
| Synonyms  =
| Micro      = microcysts with bluish material (give a spongy appearance at low magnification), clustering of nuclei cluster (described as "bundles of flowers"), bland nuclei
| Subtypes  =
| LMDDx      =
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Site      = [[brain]] - see ''[[neuropathology tumours]]''
| Assdx      =
| Syndromes  =
| Clinicalhx =
| Signs      =
| Symptoms  =
| Prevalence =
| Bloodwork  =
| Rads      = classically fourth ventricle
| Endoscopy  =
| Prognosis  = WHO grade I
| Other      =
| ClinDDx    = other brain tumours - [[ependymoma]], [[CNS lymphoma]]
| Tx        =
}}
'''Subependymoma''' is [[neuropathology]] tumour classically found in the fourth ventricle.
'''Subependymoma''' is [[neuropathology]] tumour classically found in the fourth ventricle.


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==Gross/radiology==
==Gross/radiology==
*Classic location: fourth ventricle.<ref>{{Cite journal  | last1 = Hoeffel | first1 = C. | last2 = Boukobza | first2 = M. | last3 = Polivka | first3 = M. | last4 = Lot | first4 = G. | last5 = Guichard | first5 = JP. | last6 = Lafitte | first6 = F. | last7 = Reizine | first7 = D. | last8 = Merland | first8 = JJ. | title = MR manifestations of subependymomas. | journal = AJNR Am J Neuroradiol | volume = 16 | issue = 10 | pages = 2121-9 | month =  | year =  | doi =  | PMID = 8585504 |url=http://www.ajnr.org/cgi/reprint/16/10/2121}}</ref>
*Classic location: fourth ventricle.<ref>{{Cite journal  | last1 = Hoeffel | first1 = C. | last2 = Boukobza | first2 = M. | last3 = Polivka | first3 = M. | last4 = Lot | first4 = G. | last5 = Guichard | first5 = JP. | last6 = Lafitte | first6 = F. | last7 = Reizine | first7 = D. | last8 = Merland | first8 = JJ. | title = MR manifestations of subependymomas. | journal = AJNR Am J Neuroradiol | volume = 16 | issue = 10 | pages = 2121-9 | month =  | year =  | doi =  | PMID = 8585504 |url=http://www.ajnr.org/cgi/reprint/16/10/2121}}</ref>
*Well demarcated margin.
*Well-demarcated margin.
*Usu. completely within the ventricle; does not extend into brain (like [[ependymoma]]s).
*Usu. completely within the ventricle; does not extend into brain (like [[ependymoma]]s).


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Image:Subependymoma_-_intermed_mag.jpg | Subependyoma - intermed. mag. (WC)
Image:Subependymoma_-_intermed_mag.jpg | Subependyoma - intermed. mag. (WC)
Image:Subependymoma_-_high_mag.jpg | Subependymoma - high mag. (WC)
Image:Subependymoma_-_high_mag.jpg | Subependymoma - high mag. (WC)
Image:Subependymoma_-_very_high_mag.jpg | Subependymoma - very high mag. (WC)
</gallery>
</gallery>



Revision as of 02:58, 17 February 2014

Subependymoma
Diagnosis in short

Subependymoma. H&E stain.

LM microcysts with bluish material (give a spongy appearance at low magnification), clustering of nuclei cluster (described as "bundles of flowers"), bland nuclei
Site brain - see neuropathology tumours

Radiology classically fourth ventricle
Prognosis WHO grade I
Clin. DDx other brain tumours - ependymoma, CNS lymphoma

Subependymoma is neuropathology tumour classically found in the fourth ventricle.

General

  • Good prognosis - WHO Grade I.

Gross/radiology

  • Classic location: fourth ventricle.[1]
  • Well-demarcated margin.
  • Usu. completely within the ventricle; does not extend into brain (like ependymomas).

Microscopic

Features:[2]

  • Microcysts with bluish material - give a spongy appearance at low magnification.
  • Nuclei cluster.
    • Described as "bundles of flowers".

Negatives.

  • No nuclear pleomorphism, no prominent nucleoli, no mitoses.

Images

www:

See also

References

  1. Hoeffel, C.; Boukobza, M.; Polivka, M.; Lot, G.; Guichard, JP.; Lafitte, F.; Reizine, D.; Merland, JJ.. "MR manifestations of subependymomas.". AJNR Am J Neuroradiol 16 (10): 2121-9. PMID 8585504. http://www.ajnr.org/cgi/reprint/16/10/2121.
  2. 2.0 2.1 URL: http://moon.ouhsc.edu/kfung/jty1/Com05/Com501-2-Diss.htm. Accessed on: 2 June 2011.